A patient with a rupture of the lower trachea and both bronchi is presented. A review of the significant clinical findings is presented, and the anaesthetic management is discussed. The necessity of early bronchoscopy in these patients and the ready availability of experienced medical staff in assessing all severe trauma is emphasized.
A five-year review of patients admitted to the Royal Adelaide Hospital with Salicylate overdose is presented. Despite a significant increase in the total patients admitted, those with Salicylate overdose show a steady decrease in number. There appears to be a linear relationship between dosage consumed and blood level two hours after ingestion. In addition signs and symptoms relate to blood Salicylate level. The effects of Salicylates on physiological systems is discussed. The current principles of treatment for Salicylate overdose are presented.
Two cases of severe hypoglycaemia following the use of insulin after blood sugar reagent strips indicated an erroneously high value, precipitated an investigation into the reliability of all reagent strips currently being used at the Royal Adelaide Hospital. It was found that when compared to Autoanalyzer values, such a method of blood sugar estimation is unacceptable for clinical useage. Reagent Strips taken from recently opened containers gave reasonably accurate results for lower blood sugar values. It is concluded that such inaccurate results are related to the stability of the reagent strips.
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